ADAM SHPIGEL, M.D.
Interventional Cardiology Physician · SAINT LOUIS, MO
Individual Active NPI 1417223447
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,102 | 2,356 | $717,284 | $229,121 | $169,491 |
| 2023 | 632 | 1,856 | $718,146 | $221,533 | $172,138 |
| 2022 | 825 | 1,928 | $426,959 | $159,928 | $123,618 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 522 | $123 | $84 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 309 | $65 | $48 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 234 | $8 | $6 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 150 | $75 | $59 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 120 | $14 | $8 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 90 | $159 | $107 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 81 | $125 | $97 |
| 93325 | Ultrasound of heart with color-depicted blood flow, rate and valve function | 62 | $3 | $2 |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 62 | $263 | $206 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 57 | $13 | $13 |
| 93312 | Ultrasound of heart with probe in esophagus, with report | 45 | $99 | $76 |
| 93320 | Ultrasound of heart blood flow, valves and chambers | 44 | $16 | $13 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ✓ | 2015019403 | MO |
| Cardiovascular Disease Physician | 207RC0000X | 2015019403 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 036153778 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036153778 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.